Respiratory Exam

Question 1

Examination of the hands

Answer 1

Tar staining

Peripheral cyanosis or anaemia

Clubbing

CO2 retention (palmar warmth and pinkness, flapping tremor)

Pulse and resp rate

Question 2

Exam of the head

Answer 2

Tongue for central cyanosis

Conjunctivae for pallor

Question 3

Exam of the neck

Answer 3

Trachal Position

Cervical lymph nodes

Question 4

Examination of the back

Answer 4

Inspection (scars, abnormalities, skin lesions or dilated veins)

Palpate (chest expansion, tactile vocal fremitus)

Percussion

Auscultation

Vocal resonance

Question 5

What are you listening for dring auscultation?

Answer 5

Breathing is bronchial or vesicular

Intensity of breath sounds

Any added sounds (crackles, wheeze or rubs)

Abnormalities occring dring inspiration or expiration?

Question 6

What is vesiclar breathing?

Answer 6

Rmbling or murmring quality

Question 7

What is bronchial breathing?

Answer 7

Harsh blowing quality, gap of silence between inspiration and expiration.

Sounds transmitted from trachea and main bronchi

Question 8

Examination of the front of chest

Answer 8

Inspection (scars, abnormalities of sternum of chest wall)

Palpation (trachea position, apex ebat. expansion, tactile vocal fremitus)

Percussion

Auscultation

Vocal resonance